SAT.: Classic SUN.: Skate *2 - Days On-The-Snow Training *Clinics by Top XC Coaches *Video Evaluation *Wax Clinics *Demo Ski Days *Lunch Included Authorization and Release I, the undersigned, know that skiing is an action sport, carry- ing significant risk of personal injury. Ski racing, practicing for ski racing, and all of the activities taking place in order to prepare for ski racing are dangerous and physically de- manding activities. I know that there are natural and man- made obstacles or hazards. Surface and environment condi- tions, along with risks, may cause serious injury. I, the undersigned, accept the inherent dangers of physical participa- tion in such Cross Country activities. I agree that I (and not Trollhaugen Winter Recreation Area , it’s staff, or volun- teers) am totally responsible for my safety while I participate in these activities. ______________________ ____/____/____ Signature Date ______________________ ____/____/____ Parent Print Date ______________________ ____/____/____ Parent Signature Date POWER TO AUTHORIZE MEDICAL TREATMENT (I F YOU ARE UNDER 18, THIS FORM MUST BE SIGNED BY A PARENT / LEGAL GUARDIAN) I, the undersigned, as a parent and/or legal guardian of: _______________________(person under age 18) recognize that medical treatment may become necessary in the XC Race Clinic, and to avoid delay of any necessary medical treatment and/or that which would alleviate physical injury, hereby empower the staff of Trollhaugen Winter Recreation Area or other designated persons to authorize on my behalf recommended medical treatment of my child by any staff member of any hospital, medical doctor, emergency medical technician, and/or paramedic. This authorization is com- plete and of itself fully operative upon my signature for the duration of the Trollhaugen XC Race Clinic. ______________________ ____/____/____ Parent / Guardian Signature Date __________________ ______________ Insurance Company Policy Number __________________ ______________ Doctor’s Name Phone Number Applications Due by Nov. 23 rd , 2009 Name: _______________________________ Address: _____________________________ ______________________________________ Phone: _______________________________ Email: ________________________________ Male ___ Female ___ Age ___ must be 12 yrs + FEES: PASSHOLDER OTHER NOV. 28 (Classic): $35_____ $40____ NOV. 29 (Skate): $35____ $40____ BOTH DAYS: $60____ $70____ 5K SPRINT (for Camp Participants): $10 ___ PURCHASE INFO: Trollhaugen Winter Recreation 2232 100th Ave. / Dresser, WI / 54009 CHECK #: ______ AMOUNT: $_______ VISA: _______ OR MASTER: ______ ACCOUNT #: ________________________ EXPIRATION: ___/___ AMOUNT: $ ______ SIGN: __________________ DATE: ______ * New This Year * 5K Sprint Nov. 29, 2009 Held After Race Clinic! Registration: 8:30am Clinics: 9:30am - 12pm Lunch: 12pm- 1pm WEB: www.trollhaugen.com WI PH: 715. 755. 2955 MN PH: 651. 433. 5141

Clinics by Top XC Coaches - Trollhaugen · 2019. 10. 31. · SAT.:Classic SUN.:Skate 2 - Days On-The-Snow Training Clinics by Top XC Coaches Video Evaluation Wax Clinics *Demo

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SAT.: Classic SUN.: Skate

*2 - Days On-The-Snow Training

*Clinics by Top XC Coaches

*Video Evaluation *Wax Clinics

*Demo Ski Days *Lunch Included

Authorization and Release I, the undersigned, know that skiing is an action sport, carry-ing significant risk of personal injury. Ski racing, practicing for ski racing, and all of the activities taking place in order to prepare for ski racing are dangerous and physically de-manding activities. I know that there are natural and man-made obstacles or hazards. Surface and environment condi-tions, along with risks, may cause serious injury. I, the un-dersigned, accept the inherent dangers of physical participa-tion in such Cross Country activities. I agree that I (and not Trollhaugen Winter Recreation Area , it’s staff, or volun-teers) am totally responsible for my safety while I participate in these activities. ______________________ ____/____/____ Signature Date ______________________ ____/____/____ Parent Print Date ______________________ ____/____/____ Parent Signature Date

POWER TO AUTHORIZE MEDICAL TREATMENT

(IF YOU ARE UNDER 18, THIS FORM MUST BE SIGNED BY A PARENT / LEGAL GUARDIAN)

I, the undersigned, as a parent and/or legal guardian of: _______________________(person under age 18) recognize that medical treatment may become necessary in the XC Race Clinic, and to avoid delay of any necessary medical treatment and/or that which would alleviate physical injury, hereby empower the staff of Trollhaugen Winter Recreation Area or other designated persons to authorize on my behalf recommended medical treatment of my child by any staff member of any hospital, medical doctor, emergency medical technician, and/or paramedic. This authorization is com-plete and of itself fully operative upon my signature for the duration of the Trollhaugen XC Race Clinic.

______________________ ____/____/____ Parent / Guardian Signature Date

__________________ ______________ Insurance Company Policy Number

__________________ ______________ Doctor’s Name Phone Number

Applications Due by Nov. 23rd, 2009

Name: _______________________________

Address: _____________________________ ______________________________________

Phone: _______________________________

Email: ________________________________

Male ___ Female ___ Age ___ must be 12 yrs +

FEES: PASSHOLDER OTHER

NOV. 28 (Classic): $35_____ $40____

NOV. 29 (Skate): $35____ $40____

BOTH DAYS: $60____ $70____

5K SPRINT (for Camp Participants): $10 ___ PURCHASE INFO: Trollhaugen Winter Recreation 2232 100th Ave. / Dresser, WI / 54009 CHECK #: ______ AMOUNT: $_______

VISA: _______ OR MASTER: ______

ACCOUNT #: ________________________

EXPIRATION: ___/___ AMOUNT: $ ______

SIGN: __________________ DATE: ______

* New This Year * 5K Sprint

Nov. 29, 2009 Held After Race Clinic!

Registration: 8:30am Clinics: 9:30am - 12pm Lunch: 12pm- 1pm

WEB: www.trollhaugen.com WI PH: 715. 755. 2955 MN PH: 651. 433. 5141